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To register as an organ donor within the state, visit the Donate Life Indiana website to begin the process.
Laws
Statute – Medical POA (§ 16-36-1), Living Will (§ 16-36-4)
Definition – A “representative” is an individual at least eighteen (18) years of age appointed to consent to the health care of another under this chapter (§ 16-36-1-2). A “living will declarant” means a person who has executed a living will declaration under Section 10 of this chapter (§ 16-36-4-3).
Signing Requirements – The appointment of a health care representative requires at least one (1) adult witness (§ 16-36-1-6(a)(3)), whereas the execution of a living will demands two (2) witnessing parties (§ 16-36-4-8(b)(5)).
Other Versions (4)
Download: Adobe PDF
Instructions: Adobe PDF
Indiana Catholic Conference Version
Download: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- Goshen Health – Approaching End of Life
- Indiana Catholic Conference – A Guide to Health Care Directives
- Indiana Geriatrics Society – Understanding POST
- Indiana State Department of Health – Advance Directive Information
- Indiana State Department of Health – POST Information for Healthcare Professionals
- Indiana State Department of Health – POST Form Information for Patients
- Reid Health – Advance Directive Checklist
- Reid Health – Advance Directive FAQ
- Reid Health – Deciding Together Toolkit
- VA Health Care – Advance Directive Brochure
Related Forms (5)
- DNR Order (Form 49559)
- Durable (Financial) Power of Attorney
- Life-Prolonging Procedures Declaration (Form 55315)
- Organ Donation Form
- Physician Orders for Scope of Treatment – POST (Form 55317)
DNR Order (Form 49559)
Download: Adobe PDF
Laws: § 16-36-5
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Life-Prolonging Procedures Declaration (Form 55315)
Download: Adobe PDF, MS Word (.docx)
IUH Version: Adobe PDF
Spanish Version: Adobe PDF
Laws: § 16-36-4-11
Download: Adobe PDF
Physician Orders for Scope of Treatment – POST (Form 55317)
Download: Adobe PDF, MS Word (.docx)
Laws: § 16-36-6
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